Alleviating Emotional Distress in Adolescent and Young Adult Cancer Survivors: An Open Trial of Metacognitive Therapy

Journal of Adolescent and Young Adult Oncology
Peter FisherPeter Salmon

Abstract

Metacognitive therapy (MCT) is an effective psychological treatment for a range of emotional disorders. However, the applicability of MCT to treating emotional distress in physical health populations has yet to be tested. The present study examined the potential of MCT for alleviating emotional distress in adolescent and young adult cancer (AYAC) survivors. Twelve AYAC survivors, aged 18-23, who had completed acute medical treatment participated in this pilot open trial with 6 months follow-up. Each participant completed a baseline period followed by 8-14 sessions of MCT that targeted perseverative thinking (worry and rumination), attentional control, and metacognitive beliefs. The primary outcome variable was severity of depression and anxiety symptoms as measured by the Hospital Anxiety and Depression Scale (HADS). MCT was associated with large and statistically significant reductions in anxiety, depression, trauma symptoms, and metacognitive beliefs and processes. In the intention-to-treat sample, 50% of participants met standardized criteria for recovery on the HADS at posttreatment and these gains were maintained through to 6-month follow-up. MCT is a promising transdiagnostic approach to treating different forms of emotio...Continue Reading

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Citations

May 10, 2016·Journal of Pain & Palliative Care Pharmacotherapy·Eellan Sivanesan, Melvin C Gitlin
Mar 31, 2019·Clinical Psychology & Psychotherapy·Bruce A FernieAna V Nikčević
Jan 31, 2020·Frontiers in Psychology·Vittorio LenzoMaria C Quattropani
Nov 7, 2017·Cognitive Therapy and Research·Peter L FisherPeter Salmon
Nov 30, 2018·Frontiers in Psychology·Nicoline Normann, Nexhmedin Morina
Feb 16, 2019·Frontiers in Psychology·Peter L FisherPeter Salmon

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